NPI | 1558579151 |
---|---|
Former Name | LYNN KENNEDY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 16946) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CO 939) |
Enumeration Date | 2007-05-18 |
Last Update Date | 2019-09-29 |